Individual
DR. THANH TRUC TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9070 DEVLIN RD, BRISTOW, VA 20136-1041
(703) 753-6695
Mailing address
5417 FERNDALE ST, SPRINGFIELD, VA 22151-3126
(703) 388-8753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418039
VA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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